| Entity Name: | INTEGRATED DERMATOLOGY OF GLADES ROAD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Jun 2016 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 25 Aug 2016 (8 years ago) |
| Document Number: | L16000118941 |
| FEI/EIN Number | 81-3168768 |
| Address: | 1050 NW 15TH STREET, BOCA RATON, FL, 33486, US |
| Mail Address: | 4700 Exchange Ct., SUITE 110, BOCA RATON, FL, 33487, US |
| ZIP code: | 33486 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841642014 | 2016-07-12 | 2019-01-18 | 4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450, US | 1050 NW 15TH ST, STE 201A, BOCA RATON, FL, 334861375, US | |||||||||||||||||
|
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| Phone | +1 561-314-2000 |
| Phone | +1 561-368-4545 |
| Fax | 5613684041 |
Authorized person
| Name | JEFFREY FROMOWITZ |
| Role | AUTHORIZED OFFICIAL |
| Phone | 5613142000 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATE CREATIONS NETWORK INC. | Agent |
| Name | Role | Address |
|---|---|---|
| FROMOWITZ JEFFREY | Manager | 1050 NW 15TH STREET, BOCA RATON, FL, 33486 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000086683 | INTEGRATED DERMATOLOGY OF EAST BOCA | EXPIRED | 2016-08-15 | 2021-12-31 | No data | 902 CLINT MOORE ROAD, SUITE 226, BOCA RATON, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-23 | 1050 NW 15TH STREET, BOCA RATON, FL 33486 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-23 | 1050 NW 15TH STREET, BOCA RATON, FL 33486 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-23 | Corporate Creations Network, Inc. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-08 | 801 US Highway 1, North Palm Beach, FL 33408 | No data |
| LC AMENDMENT | 2016-08-25 | No data | No data |
| LC NAME CHANGE | 2016-07-01 | INTEGRATED DERMATOLOGY OF GLADES ROAD, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-02-05 |
| ANNUAL REPORT | 2017-03-30 |
| LC Amendment | 2016-08-25 |
| LC Name Change | 2016-07-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
